PF-08634404 plus chemotherapy in adults with advanced or recurrent pMMR endometrial cancer
Official title: AN INTERVENTIONAL PHASE 3, OPEN LABEL, RANDOMIZED STUDY TO EVALUATE EFFICACY AND SAFETY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY VERSUS PEMBROLIZUMAB IN COMBINATION WITH CHEMOTHERAPY IN ADULT PARTICIPANTS WITH ADVANCED OR RECURRENT MISMATCH REPAIR PROFICIENT ENDOMETRIAL CANCER
Run by Pfizer · NCT07578649 · Data updated 2026-11-12
This study tests whether PF-08634404 added to standard chemotherapy helps adults with advanced or recurrent pMMR endometrial cancer more than pembrolizumab plus chemotherapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 600 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Drugs / interventions | immunotherapy, pembrolizumab, chemotherapy |
| Locations | 54 sites (Jupiter, Florida and 53 other locations) |
| Status | Recruiting |
| Started | October 14, 2026 |
| Main results expected | June 1, 2029 |
| Study ends | January 30, 2031 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07578649 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18 or older with newly diagnosed or recurrent advanced or newly diagnosed Stage III/IV endometrial cancer, whose tumors are pMMR and who can provide tumor tissue for testing.
✕Probably not a fit
Patients with non-pMMR tumors, pure sarcomas, or those unlikely to tolerate study treatments may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 trial compares PF-08634404 in combination with chemotherapy to pembrolizumab plus chemotherapy in adults with mismatch repair-proficient (pMMR) endometrial cancer that is advanced or has recurred. Eligible participants have measurable disease or high-risk features and are eligible for non-curative treatment options. Key assessments include central testing of tumor MMR/p53 status, ECOG performance status 0-1, and adequate organ function. The study is sponsored by Pfizer with collaboration from GOG Foundation and ENGOT, and is conducted at select centers in Florida. Primary endpoints typically include progression-free survival and overall survival, with safety monitoring throughout.
Why it matters
Potential benefit: If successful, this approach could improve outcomes for patients with hard-to-treat pMMR endometrial cancer.
How similar studies have gone: Prior research in endometrial cancer has explored combinations of targeted agents with chemotherapy; the success of PF-08634404 in this setting remains to be established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women ≥18 years of age who are confirmed not pregnant at screening. * Histologically or cytologically confirmed endometrial cancer that is recurrent or advanced; carcinosarcomas are eligible but pure sarcomas are excluded. * Newly diagnosed FIGO Stage III disease with measurable disease per RECIST v1.1, newly diagnosed FIGO Stage IV disease with or without measurable disease, or recurrent disease with or without measurable disease for which curative treatment with surgery and/or radiotherapy is unlikely. * For participants with recurrent disease, prior adjuvant systemic anti-cancer therapy is allowed if relapse occurred more than 6 months after the last dose. * Must provide tumor tissue for prospective central assessment of MMR and p53 status. * Proficient mismatch repair (pMMR) endometrial cancer as determined by central testing. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. * Life expectancy of at least 12 weeks. * Adequate organ function as defined in the protocol. Exclusion Criteria: * Prior systemic therapy for first-line advanced or recurrent endometrial cancer. * Prior immunotherapy or anti-angiogenic therapy. * Deficient mismatch repair (dMMR) endometrial cancer by central testing. * Active or untreated central nervous system (CNS) metastases; participants with previously treated and clinically stable brain metastases may be eligible if not requiring steroids and without evidence of progression. * Clinically significant risk of bleeding or fistula, including a history of severe bleeding disorders. * History of another malignancy within 3 years, except for cancers with negligible risk of recurrence or death. * History of allogeneic organ or hematopoietic stem cell transplantation; active autoimmune disease requiring systemic treatment within the past 2 years; or history of immunodeficiency * Interstitial lung disease, pneumonitis, or clinically significant pulmonary disease * Uncontrolled or significant cardiovascular, metabolic, renal, hepatic, or vascular disease * Active or uncontrolled infection. * Recent major surgery or severe trauma within protocol-defined washout periods.
Where it's running
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Jupiter Medical Center/ Anderson Family Cancer Institute
Jupiter, Florida, United States Recruiting -
Orlando Health Ambulatory Care Center
Orlando, Florida, United States Recruiting -
Orlando Health Cancer Institute
Orlando, Florida, United States Recruiting -
Orlando Health Orlando Regional Medical Center
Orlando, Florida, United States Recruiting -
Orlando Health Winnie Palmer Hospital for Women & Babies
Orlando, Florida, United States Recruiting -
Minnesota Oncology Hematology, PA
Coon Rapids, Minnesota, United States Recruiting
Show 44 more locations
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Minnesota Oncology Hematology, PA
Edina, Minnesota, United States Recruiting -
Minnesota Oncology Hematology, PA
Maple Grove, Minnesota, United States Recruiting -
Minnesota Oncology Hematology, PA
Maplewood, Minnesota, United States Recruiting -
Minnesota Oncology Hematology, PA
Woodbury, Minnesota, United States Recruiting -
The Center of Hope
Reno, Nevada, United States Recruiting -
White Plains Hospital
White Plains, New York, United States Recruiting -
Miami Valley Hospital South
Centerville, Ohio, United States Recruiting -
Northwest Cancer Specialists, P.C.
Happy Valley, Oregon, United States Recruiting -
Northwest Cancer Specialists, P.C.
Portland, Oregon, United States Recruiting -
Northwest Cancer Specialists, P.C.
Tigard, Oregon, United States Recruiting -
Sarah Cannon Research Institute- Pharmacy
Nashville, Tennessee, United States Recruiting -
SCRI Oncology Partners
Nashville, Tennessee, United States Recruiting -
Texas Oncology - West Texas
Abilene, Texas, United States Recruiting -
Texas Oncology-West Texas
Amarillo, Texas, United States Recruiting -
Texas Oncology - Central South
Austin, Texas, United States Recruiting -
Texas Oncology - Central South
Austin, Texas, United States Recruiting -
Texas Oncology - Central South
Austin, Texas, United States Recruiting -
Texas Oncology-West Texas
El Paso, Texas, United States Recruiting -
Texas Oncology - West Texas
El Paso, Texas, United States Recruiting -
Texas Oncology - West Texas
El Paso, Texas, United States Recruiting -
Texas Oncology - Central South
Harlingen, Texas, United States Recruiting -
US Oncology Investigational Products Center (IPC)
Irving, Texas, United States Recruiting -
Texas Oncology - Central South
McAllen, Texas, United States Recruiting -
Texas Oncology-West Texas
Midland, Texas, United States Recruiting -
Texas Oncology - West Texas
Odessa, Texas, United States Recruiting -
Texas Oncology - Central South
Waco, Texas, United States Recruiting -
Texas Oncology - Central South
Weslaco, Texas, United States Recruiting -
Texas Oncology-West Texas
Wichita Falls, Texas, United States Recruiting -
Virginia Oncology Associates
Chesapeake, Virginia, United States Recruiting -
Virginia Oncology Associates
Newport News, Virginia, United States Recruiting -
Virginia Oncology Associates
Norfolk, Virginia, United States Recruiting -
Virginia Oncology Associates
Suffolk, Virginia, United States Recruiting -
Virginia Oncology Associates
Williamsburg, Virginia, United States Recruiting -
Northwest Cancer Specialists, P.C.
Vancouver, Washington, United States Recruiting -
Minnesota Oncology Hematology, P.A.
Hudson, Wisconsin, United States Recruiting -
Sapporo Medical University Hospital
Sapporo, Hokkaido, Japan Recruiting -
Hyogo Cancer Center
Akashi, Hyōgo, Japan Recruiting -
Cancer Institute Hospital of JFCR
Koto-ku, Tokyo, Japan Recruiting -
Fukushima Medical University Hospital
Fukushima, Japan Recruiting -
Niigata Cancer Center Hospital
Niigata, Japan Recruiting -
Taichung Veterans General Hospital
Taichung, Taiwan Recruiting -
New York Oncology Hematology
Albany, New York, United States Not yet recruiting -
GenesisCare - Campbelltown
Campbelltown, New South Wales, Australia Not yet recruiting -
Toowoomba Hospital
Toowoomba, Queensland, Australia Not yet recruiting
+4 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.